American Urological Association - Using the AQUA Registry for MIPS Reporting


Home Practice Resources AUA Quality (AQUA) Registry MIPS Reporting

Using the AQUA Registry for MIPS Reporting

The Merit-based Incentive Payment System (MIPS) is a path to participate in the CMS Quality Payment Program (QPP), which streamlines multiple value-based programs including Meaningful Use (MU), the Physician Quality Reporting System (PQRS) and Value-Based Modifier (VBM). The AQUA Registry is your “one-stop shop” to report on all categories of MIPS.

The graphics below shows how the AQUA Registry can help streamline your practice’s MIPS reporting needs. If you see Medicare patients, you may earn a performance-based payment adjustment through MIPS.

Merit-Based Incentive Payment System
Click to Expand

Merit-Based Incentive Payment System
Click to Expand

Who is eligible?

Eligible providers must bill Medicare more than $30,000 annually and provide care to more than 100 individual Medicare patients, per year. Both the minimum billing amount and the number of patients must be met in order to partake in the program. For MIPS, you must also be a:

  • Physician
  • Physician assistant
  • Nurse practitioner
  • Clinical nurse specialist
  • Certified registered nurse anesthetist

Pick your Pace in MIPS

Eligible providers not enrolled in advanced alternative payment models must participate in the MIPS path of the Quality Payment Program at one of the following levels in 2017 to avoid a 4% payment adjustment in 2019:

Test Option Partial Year Reporting Full Year Reporting
Minimum amount of 2017 data (i.e., one improvement activity, one quality measure or 4 or 5 required ACI measures) 90 days of 2017 data (more than one  quality measure or improvement activity, or 4 or 5 required ACI measures) Full year of 2017 data

Penalty for Not Reporting

Eligible providers who do not report their data will receive a financial penalty under MIPS. The table below shows the maximum negative adjustments based on the practice size:

Practice Size

Maximum Negative Adjustment under MIPS^

(4%, 2017 performance year)









^Figures are based on 2014-2015 CMS payments to urologists.  



Important Dates & Deadlines

January 31, 2018
Deadline to submit Data Release Consent Forms (DRCF) through the AQUA Registry Dashboard

March 18, 2018
Deadline to submit 2017 data to CMS through the AQUA Registry.

2018 MIPS Reporting Deadlines will be posted at a later date.

*Disclaimer: If your institution expects third parties to use their institution–specific  BAA, has complex security requirements or other special issues, make sure to start the enrollment process as soon as possible to ensure all necessary paperwork is completed prior to the deadline.